Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review.

ABSTRACT: The quality of health care remains generally poor across primary health care settings, especially in low- and middle-income countries where tertiary care tends to take up much of the limited resources despite primary health care being the first (and often the only) point of contact with the health system for nearly 80 per cent of people in these countries. Evidence is needed on barriers and enablers of quality improvement initiatives. This systematic review sought to answer the question: What are the enablers of and barriers to quality improvement in primary health care in low- and middle-income countries? It adopted an integrative review approach with narrative evidence synthesis, which combined qualitative and mixed methods research studies systematically. Using a customized geographic s

SUBMITTER: Odhus CO 

PROVIDER: S-EPMC10796071 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature